person
Chantel Marie Green, FNP
Family Nurse Practitioner in Jefferson City, Missouri
NPI 1457075889

Chantel Marie Green is a Family Nurse Practitioner based in Jefferson City, MO and is specialized in Family. Chantel Marie Green practices in Jefferson City, MO and has the professional credentials of FNP. The NPI Number for Chantel Marie Green is 1457075889 and holds a License No. 2022037794 (Missouri).

The current practice location address for Chantel Marie Green is 1241 W Stadium Blvd, Jefferson City, MO and can be reached out via phone at 573-635-5264.

Location: 1241 W Stadium Blvd, Jefferson City, MO, 65101-8987
person
Provider Profile Details
NPI Number
1457075889
Provider Name
Chantel Marie Green
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1241 W Stadium Blvd, Jefferson City, MO, 65101-8987
Phone Number
573-635-5264
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109-6023
Phone Number
573-635-5264
Fax Number
person
Provider Business Mailing Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109-6023
Phone Number
573-635-5264
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2022037794 (Missouri)
Definition
Definition to come...
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